Individual
MS. SUSAN N PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH AND CIVIC CENTER BLVD., PHILADELPHIA, PA 19104
(214) 490-3634
(215) 590-3680
Mailing address
649 SUSSEX RD, WYNNEWOOD, PA 19096-2204
(610) 649-6495
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP001169D
PA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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